Social Security Number: Home Phone: Work Phone: Cellular: Email: Occupation / Employer: Please provide three personal re
Foster Care Application Please complete and return by mail or in person to Kenton County Animal Shelter 1020 Mary Laidley Rd. Fort Mitchell, KY 41017. Name: ____________________________________________________ Date: __________ Address: ___________________________________________________ ___________________________________________________ Social Security Number: Home Phone: ____________________ Cellular: __________________
Work Phone: ________________________
Email: ____________________________________ Occupation / Employer: ______________________________________ Please provide three personal references (name and number): 1. _____________________________________ 2. _____________________________________ 3. _____________________________________ Please describe your home. Is it an apartment? House? Fenced? Animal kept inside or outside?
Provide information about the animals you currently have. Which vet do you take them to and are they up to date on their vaccinations? (May we contact your vet for a reference? (Yes No)
Have you ever provided foster care for animals before? Tell us about it. List any foster limitations, if any, that you would like for us to know about? Which type of animals can you foster? (Circle)
Dogs
Cats
Both
What kind of foster care are you interested in? (circle) Bottle feeding Young – but can eat on their own Moms with their litter
Adolescents (4 months – 8 months) Adults (8 months old and older)
Other: ____________________
What amount of time could you foster? (circle all that apply) One Week
2-3 Weeks
4 Weeks or more
Do you have kids in the home? Yes No Ages: _______ If not, do you ever have kids visit your home? Yes No If so, how often? Tell us more about the animals currently in your home? Do they get along well with other cats or dogs?
Will you be able to house the foster animals separate from your own animals? Yes No If so, where in your house?
Describe any medical conditions your resident animals have, such as treatments, special diet, medications, etc.
Terms and Conditions for Foster Care
Foster Care Contract TERMS AND CONDITIONS: • I understand that the animal(s) will at all times remain the sole property of the Kenton County Animal Shelter. • I agree to provide the animal(s) good loving care, including at a minimum: adequate feed, adequate water, adequate shelter that is properly cleaned, adequate space in the primary enclosure for the particular type of animal depending upon its age, size, species and weight, adequate exercise and follow Kenton County Animal Shelter regulations on transportation and veterinary care when needed to prevent suffering or disease transmission. • I understand that medicines and other supplies provided by the Kenton County Animal Shelter are for use with foster care animals only, and are not to be administered to animals that are not the property of the Kenton County Animal Shelter. • I understand that all veterinary care must be authorized in advance by the Animal Shelter. I agree to personally incur the cost for any treatment that has not been so authorized. • I understand and acknowledge that I do not have any right or authority to keep, adopt, transfer, or place foster animals in other homes or with other individuals. • I agree that every animal I provide foster care for must be physically returned to the Kenton County Animal Shelter by the date set forth below or at any time upon the request of the Animal Shelter. I also agree to return the animal(s) immediately if I am no longer able to provide adequate care. • I agree to provide the appropriate staff members at the Kenton County Animal Shelter with the necessary information and materials at any time (such as fecal samples or temperature/weight measurements) to enhance the care that I am providing to the foster animal(s). • I agree to hold the Kenton County Animal Shelter harmless from any direct or consequential damages arising out of this foster care arrangement. • I acknowledge that the Kenton County Animal Shelter may terminate this or any other foster care arrangement at any time in its sole discretion. • I certify that no person residing in the household where the animals will be fostered has ever been charged with or convicted of animal cruelty, neglect or abandonment.
I certify that the above information is correct to the best of my knowledge. I also agree to follow all the rules, regulations and policies of the Kenton County Animal Shelter. No person residing in the household has ever been convicted of animal cruelty, neglect or abandonment . Signature: ________________________________________
Behavior Questionnaire for Dogs in Foster Care Here at the Kenton County Animal we use positive reinforcements as our way of training (meaning; using treats). Are you familiar with this type of training and would you be willing to use this method? Please explain: Have you attended any classes for dogs? YES NO If so, please describe: Can you foster a dog that is not housebroken? YES NO Have you housebroken a dog or puppy before? YES NO Which size do you prefer to foster? (Circle all that apply)
Small
Medium
Large Any
Do you have a crate? YES NO Have you crate trained a dog before? YES NO Do you have a fenced in yard? YES NO How high is your fence?_______ If you do not have a fence, how will you exercise the dog? Which types of dogs have you had experience with in the past? (circle all that apply) • Dogs with handling issues (don’t touch my feet) • Shy dogs • Resource guarding dogs (don’t get near my • Very shy or non-reactive dogs (meaning food bowl- toys) "shut down") • Dog aggressive dogs • Fearful dogs (scared of specific people or • Dogs with stranger issues things) • Highly predatory dogs (cats and squirrels • Jumpy, mouthy, over stimulated dogs beware) If you answered yes to any of the above, please explain the type of training used in working with the dog and if it was successful: Out of all the different behaviors above, which would you feel comfortable with?
